Central Ossifying Fibroma of the Anterior Mandible

  • The patient is a 26-year-old female.
  • The first symptom presented in the right side of the front mandible, as pain of tooth number #42 (26) like in pulpitis.
  • After endodontic treatment, the X-rays and CBCT showed a focus of osteolysis with strongly shaded elements in the central area.
  • A root resection of #42 (26) was performed with backfill of the root canal with MTA. The tumor was removed with peripheral bone curettage about one millimeter deep and the bone defect was filled with Bond Apatite® (1cc).
  • The tumor seemed to be between spongiosa and inflammatory bone, and after histology the diagnosis came back of a central ossifying fibroma of the mandible, COF.
  • Good healing of the wound was observed. The sutures were removed after 7 days. Moreover, after 3 months no recurrence or secondary inflammatory symptoms were observed).

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